Modalities Flashcards
cautions for moxa
altered skin sensation or decreased sensitivity for heat sometimes seen in diabetes
excess syndromes and heat syndromes
Scarring moxibustion should not be applied to the face and head, and the area in the vicinity of the large blood vessels.
he abdominal region and Lumbo sacral region of the pregnant woman are not allowed to use moxibustion.
types of moxa
- direct moxa
- indirect moxa
- insulated moxa
- warming needle
- moxa box
types of indirect moxa
rice grain, mountian cone, non scarring and scarring
when is scarring moxa used
chronic persistant diseases but is not recommended due to high risk of infection
when to use ginger w moxa
spleen/stomach xu, yang xu (diarrhea, abdominal pain and painful joints)
when to use ginger w moxa
scrofula, Tb, early stage skin ulcers, boils, insect bites, masses in abdomen
when to use fuzi w moxa
warms yang, expels cold, yin cold syndromes (impotence, premature ejaculation), warms kidney
when to use clay w moxa
for skin disorders
when to use moxa on salt
for abdominal pain, vomiting, extreme coldness of the extremities and general xu, restores yang. collapse
functions of moxa
- to warm meridians and expel cold
- to induce the flow of qi and blood
- to strengthen yang from collapse
- to prevent diseases and keep health
method of indirect moxa
moxa stick
technique w moxa sticks
stick held at fixed level
rotating the moxa stick above a small area
pecking method
whats moxa box used for
abdomen or low back
cupping actions
- warming due to the heat inside the cup generated by fire
- promotes the free flow of qi
- dispels cold/damp
- cupping w bleeding for acute sprains w blood stasis
methods of cupping
- retention cupping
- multiple cupping
- flash cupping
- sliding cupping
- cupping over needle
- wet cupping
what does a red purple cup mark mean
normal and should disappear in a few days
what does a bright red cup mark mean
indicates fresh injury or acute heat
what does a dark red cup mark mean
old injury or old heat
what does a dark purple cup mark mean
blood stasis from heat
what does a black purple cup mark mean
extreme blood stasis
what does a light purple cup mark mean
blood stasis from a deficiency
what does a pale cup mark mean
deficiency
what does a green hue on a cup mark mean
liver pathology
what size cups do you use around joints
small
what is wet cupping used for
break up blood stasis and promote qi and blood circulation
indications for flash cupping
deficiency conditions, numbness, declining function
when is multiple cupping method used
injuries of muscle groups or qi stagnation in certian organs
when is shorter retention of a cup required
summer or delicate skin
how long to retain a cup
5-15min
what does a tdp lamp do
- warms
- increase blood circulation
- reduce swelling
- decrease joint stiffness and muscle pain
indications for tdp lamp
- pain in joints and muscles
- swelling and edema
- muscle spasms
how far to keep tdp lamp away
12” (30 cm)
is pink skin w a tdp lamp normal
yes
what angle dont you pass to keep heat from collecting in tdp lamp head
45º
how long to let tdp lamp to cool before storage
15 min
maximum tdp lamp exposure for adults
50-60 min
maximum tdp lamp exposure for children
30 min
indications for gua sha
- wind heat or cold
- old epi that has gone in further
- brings heat, qi, and epi up and out
direction to use gua sha
up to down
how long to do gua sha
5-10 min or more on each side until theres arrhythmia or broken capillaries
what to do after gua sha
apply soothing lotion and a blanket to keep heat in
cautions for gua sha
deficient or weak ppl
tui na techniques
pressing, patting, wiping, scrubbing,rolling, pushing, rubbing, grasping, kneading, foulage, shaking, plucking/vibrating
cautions for tuina
gentle or no tuina with acute injuries
light w deficiencies
strong with excess
never over open wounds
materials for blood letting
3 edged needle, prestaralized disposable lancet, plumb blossom needle, scalpel, regular thick needle
indications of bleeding
- tcm: drain heat
- activate and vitalize blood to dispel stasis and activate qi and blood
- relieve local stagnation
- conventional medicine: hematoma, low back pain, fever, tonsillitis, headache, rhinitis etc.
methods of bleeding
- pricking
- clumping
- dispersing
contraindications and cautions for bleeding
general weakness, pregnancy, post partum, anemia, hemorrhagia, low bp, vascular tumors
indications for clumping method
injuries sprains reddened or swollen skin neurodermatisis allergic dermatitis erysipelas
indications for dispersing method of bleeding
neuro dermatitis allergic dermatitis erysipelas
electro acupuncture indications
- trigeminal neuralgia
- sciatica
- pain of the greater occipital nerve
- migraine
- periarthritis of shoulder
- injury of knee joint or ligaments
- abdominal pain
- intestinal adhesion pain
- bone fracture
- renal cholic
- dysmenorrhea
- tmj pathology
- nicotine addiction
- weight loss
- systemic diseases such as skin diseases
- sports injury or muscle spasm
electro acupucture treats what w wei syndromes
paraplegia
hemiplegia
facial paralysis
frequency in the human body
8hz
tonifying hz
below 8 usually 1-2-4
reducing hz
above 8 around 20-80 hz
even method hz
8 hz
types of wave forms
dense wave disperse wave dense disperse wave intermittent wave ripple wave respiratory wave or serrated wave
dense wave frequency
high frequency 50-100 pulses per second
dense wave function
inhibits sensory nerve followed by motor nerve
what to use dense wave for
relives pain relieves spasms of both muscles and blood vessels calms the mind used for anesthesia
disperse wave frequency
low frequency 2-5 pulses per second
what does disperse wave do
contracts the muscle
what. to use dispearse wave for
flaccidity and atrophy
dense disperse wave frequency
alternates every 1.5 seconds
what does dense disperse wave do
promote metabolism and blood circulation
what does dense disperse wave treat
edema, sprains, bruising, arthritis, neuralgia and paralysis
ittermittent waver frequency
dense wave that is intermittent about every 1.5 seconds
what is intermittent wave good for
atrophy and paralysis
ripple wave frequency
gradually increases and gradually decreases to 0
what is ripple wave used for
excite muscles and nerves
respiratory wave frequency
gradually increases to maximum and quickly drops to 0
frequency is almost the same as respiration
what to use respiratory wave for
muscle aggrivation, regulate channels, and collaterals, and improve circulation of qi and blood
what are the main nerves that supply the ear
great auricular nerve, lesser optical nerve, cervical spinal nerves, auriculotemporal branch of trigeminal nerve vagus nerve mixed branch of facial nerve and glossophargeal nerve, and sympathetic nerve
a prominent rim of the auricle
helix
an elevation at the posterosuperior aspect of the helix
helix tubercle
the inferior end of the helix at the junction of the helix and ear lobe
helix cauda
a transverse ridge of the helix continuing backward into the ear cavity
helix crus
an elevated ridge anterior and parallel to the helix its upper part branches out in the superior and inferior antihelix crura
antihelix
a depresion between two antihelix crura
triangular fossa
a narrow curved depression between the helix and antihelix
scapha
a small curved flap infront of the auricle
tragus
a depression between the helix crus and upper boarder of the tragus
intertriagac notch
a depression between the antihelix and antitragus
helix notch
a cavity superior to the helix crus
cymba concha
a cavity inferior to the helix crus
cavum concha
an opening into the ear shielded by the tragus
orifice of external auditory meatus
an area where the upper part of the auricle attaches to the scalp
superior auricular root
an area where the ear lobe of the auricle attaches to the face
inferior auricular root
whats the scapha related to
upper limbs
whats the antihelix and 2 crura related to
trunk and lower limbs
cymba and cavum concha are related to
internal organs
lobule is related to
head and face
indications for ear tx
- prevention and tx of disease
- anesthesia
- addictions
how to examine the ear
- look for tender spots
- probe for low electrical resistance
- abnormality or discolour
how long to retain ear needle
25-30 min or 1-2h in severe cases
cautions for ear tx
- adhere to stric antiseptic procedure
- frostbitten or inflamed ears are contraindicated
- contra indicated in pregnancy if there is history of miscarrige
- aged weak patients w hypertension and arterialsclerosis should have proper rest before and after auricular acup
ear point on the lower half of the medial aspect of the tragus inferior to the throat point
internal nose
ear point at the lateral third of the tiangualr fossa, anterior to the bifurcating between the superior and inferior antihelix crura
shen men
ear point at the tip of the lower tubricle on the boarder of the tragus
adrenal gland
ear point posterior and superior to the lateral aspect of the antitragus
occiput
located where the helix crura disappears
stomach
midway between the antitragic apex and antihelix tragic notch
brain point
at the tip of the antitragus
soothing asthma
at the medial aspect of the antitragus
subcortex brain
at the lower boarder of the antihelix crus directly above small intestine
kidney
at the peripheral concha ridge
liver
located between the mouth and heart
trachea
close to the posterior and superior boarder of the orifice of the external auditory meatus
mouth
level w the helix crus
vagus nerve
in the central depression of the cavum concha
heart
superior inferior and lateral to the heart point
lung
located on the back of the ear in the groove running fromn the medial superior region to the lateral inferior region
antihypertensive groove
inferior to the intertraigic notch
antihypotensive
at the junction of the terminal of the inferior antihelix crus and the medial aspect of the helix
sympathetic nerve
in the intertraigic notch
endocrine
whats the perscription for battle field acup for pain
shen men, omega2, thalamus, cingulate gyrus and point zero
What ear point is indicated for rhinitis maxillary sinusitis and common cold
Internal nose
What ear point is indicated for stress anxiety excessive sensitivity insomnia dream disturbed sleep irritability inflammation asthma cough vertigo urticaria
Shen men 
What ear point is indicated for hypotension syncope pulselessness Disease cough asthma common cold heat stroke malaria and mastitis
Adrenal gland
What ear point is indicated for diseases of the nervous system skin diseases syncope occipital headache and insomnia
Occipit
What ear Point is indicated for gastric pain hiccough vomiting indigestion gastric ulcer and insomnia
Stomach
What ear point is indicated for  nocturnal enuresis mass of uterine bleeding and acute infantile convulsions
Brain point
What ear point is indicated for asthma cough mumps nocturnal enuresis acute infantile convulsions
Soothing asthma parotid gland
What ear point is indicated for Insomnia painful diseases mental disabilities asthma vertigo and tinnitus
Brain sub cortex
What ear point is indicated for Urinary genital system and gynaecological diseases lumbar pain tinnitus insomnia vertigo hyper trophy of cervical and lumbar vertebrae
Kidney
What ear point is indicated for Any conditions of the liver
Liver
What ear point is indicated for Cough asthma
Trachea
What ear point is indicated for Facial paralysis stomatitis
Mouth
What ear point is indicated for gastric pain Billary Ascariasis diarrhoea asthma nasal obstruction
Vegas nerve
What ear point is indicated for Cardiovascular disease heat stroke and acute infantile convulsions
Heart
What ear point is indicated for Diseases of the respiratory system skin diseases common cold
Lung 
What ear point is indicated for Hypertension
Anti-hypertensive groove
What ear point is indicated for
Hypotension shock
Anti-hypotensive
What ear point is indicated for Represents the pituitary gland which is the master control grand for all other endocrine Glands
Endocrine